| Lawrence E Hallett, CRNA | |
|
200 Somerset St, Millinocket, ME 04462-1258 | |
| (207) 723-5161 | |
| Not Available |
| Full Name | Lawrence E Hallett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 200 Somerset St, Millinocket, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982677589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN346971L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA83366 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millinocket Regional Hospital | 3779491212 | 18 |
| St Joseph Hospital | 6406766336 | 170 |
| Entity Name | Northern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
| Entity Name | Millinocket Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646150 PECOS PAC ID: 3779491212 Enrollment ID: O20040523000014 |
| Entity Name | St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence E Hallett, CRNA 112 Morgan Ln, Millinocket, ME 04462-1712 Ph: (814) 558-9972 | Lawrence E Hallett, CRNA 200 Somerset St, Millinocket, ME 04462-1258 Ph: (207) 723-5161 |
Bruce Alvin Rioux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Somerset St, Millinocket, ME 04462 Phone: 207-723-5161 |